摘要
目的:比较提上睑肌缩短+前徙术、额肌瓣悬吊术对先天性上睑下垂的矫正效果。方法:采取单纯重睑切口,对87例患者中的54例共66眼行提上睑肌缩短+前徙术,33例共43眼行额肌瓣悬吊术,术后1、6、12月各随访1次,记录视力,术眼上睑缘位置、双眼睑裂对称性,睑裂闭合不全程度、有无倒睫、成角畸形。结果:79例患者经1次手术矫正满意,6例患者矫正良好,2例患者第一次手术矫正不足,再次手术矫正满意,无矫正过度及无效病例。结论:两种手术方法效果肯定,提上睑肌缩短术符合生理解剖位置,术后睑裂闭合不全程度较轻并可逐渐消失,大部分患者可以选择,但是少数患者欠矫。额肌瓣悬吊术后睑裂闭合不全程度较重,且永久存在,少部分患者出现出血、伤口裂开等并发症,但是只要术后观察护理得当,可避免并发症发生。
Objective： To compare the corrective effects of shortening and advancement of levator palpebrae superioris muscle and frontal muscle flap suspension surgery for congenital blepharoptosis. Methods：Frontal muscle flap suspension surgery was adopted on 43 eyes of 33 patients and shortening and advancement of levator palpebrae superioris muscle was used on 66 eyes of 54 patients among 87 cases by pure double eyelid incision. Follow-up visits of each patient were paid in the first, the sixth, the twelfth month after the surgery for taking records of visual acuity, position of upper eyelid skin edge of the surgery eye, the symmetry of both eyes＇ palpebral fissure, the level of palpebral fissure dysraphism, and any trichiasis and angulation deformity. Results： 79 patients got satisfying effects and 6 patients got fine effects after the first surgery. 2 patients got insufficient correction after the first surgery and then got satisfying effects by the second time. There is no overcorrection and nullity. Conclusion：Both of the operation methods had positive effects. Shortening and advancement of levator palpebrae superioris muscle fits for physiology, and the level of palpebral fissure dysraphism after the surgery was rather low and could disappear gradually. Most of the patients could choose this method but few patients got insufficient correction. Frontal muscle flap suspension surgery has a serious level of palpebral fissure dysraphism after the surgery and it could exist permanently. A few patients has complication of bleeding and wound dehiscence, which could be prevented from happening with proper postoperative observation and nursing.
出处
《大理大学学报》
CAS
2016年第4期60-63,共4页
Journal of Dali University
关键词
先天性
上睑下垂
提上睑肌缩短术
额肌瓣悬吊术
congenital
blepharoptosis
shortening levator palpebrae superioris surgery
frontal muscle flap suspension surgery
